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General NPI Number Information
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NPI Number | 1487068136
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Entity Type | Organization
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Legal Business Name | CAMM CARE LLC
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 800 OAK RIDGE TPKE STE C260
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City | OAK RIDGE
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State | TN
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Zip | 37830-6947
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Country | US
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Telephone | 186-546-6757
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Fax | 865-234-7020
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Provider Business Mailing Address
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Address Line | 800 OAK RIDGE TPKE STE C260
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City | OAK RIDGE
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State | TN
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Zip | 37830-6947
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Country | US
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Telephone | 865-234-7007
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Fax | 865-234-7020
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Authorized Official
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Title or Position | CAO
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Name | MRS. BARBARA MEGAN MULLINS
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Credential |
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Telephone | 865-234-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | I000000014383
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License Number State | TN
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